MIA LAISA THIBAULT (FNP-C) – Nurse Practitioner, NPI 1144946013

MIA LAISA THIBAULT (FNP-C) is a healthcare provider. based in Las vegas, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 860389 (NV). The NPI Number for MIA LAISA THIBAULT (FNP-C) is 1144946013

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MIA LAISA THIBAULT (FNP-C)
NPI
1144946013
Phone
(725) 258-7337
Address
2800 N TENAYA WAY
Enumeration Date
12 October 2022
Last Update Date
18 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7252154545
Graduation Year
2019 (7 years ago)
PAC ID
1951772698
Group Practice PAC ID
9335504539
Professional Enrollment ID
I20230117002138
Address ID
NV891693206LA1700XRDXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,949 NURSE PRACTITIONER in NV

Provider Addresses for MIA LAISA THIBAULT (FNP-C)

  • 2800 N TENAYA WAY

    SUITE 101

    LAS VEGAS, NV 89128

    Phone: (725) 258-7337

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Astellas Pharma US Inc ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Astellas Pharma US Inc$125
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230117002138INurse PractitionerNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes587106$0
11042Removal of skin and tissue, 20.0 sq cm or less47283$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less8716$0
11000Removal of inflamed or infected skin, up to 10% of body surface8754$0
99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes8080$0
View full utilization report →

Insurance plans in this area (ZIP 89128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335504539View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerTX
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerTN

Reviews

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Frequently asked questions

Where can patients find MIA LAISA THIBAULT (FNP-C)'s NPI?
You can confirm MIA LAISA THIBAULT (FNP-C) with NPI 1144946013; it appears in the national provider directory.
Does this profile mean MIA LAISA THIBAULT (FNP-C) is currently active?
Yes — MIA LAISA THIBAULT (FNP-C) appears active in the national provider directory.
Can you summarize MIA LAISA THIBAULT (FNP-C)'s specialty in plain language?
Clinically, the directory lists MIA LAISA THIBAULT (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MIA LAISA THIBAULT (FNP-C)'s primary listing?
We display Las Vegas, Nevada because that is what the record indicates for MIA LAISA THIBAULT (FNP-C).
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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